Summary
Overview
Work History
Education
Skills
Timeline
Generic

Chelsey Willis

Taylor

Summary

Experienced Customer Experience and Appeals Specialist with a strong background in processing appeals and grievances, analyzing data, and ensuring compliance with regulatory and accreditation guidelines. Skilled in conducting thorough research, interpreting contract provisions, and providing comprehensive case resolutions. Adept at engaging with customers, gathering necessary information, and delivering timely and accurate responses. Known for attention to detail, data analysis, and ensuring adherence to established practices and standards.

Overview

5
5
years of professional experience

Work History

Appeals and Grievances Specialist

Elevance Health
11.2021 - Current

• Processed customer appeals and grievances in compliance with federal, state, and accreditation guidelines.

• Conducted comprehensive research to evaluate and respond to customer cases, ensuring timely and accurate resolution.

• Analyzed and interpreted contract provisions and regulatory requirements to provide appropriate case dispositions.

• Communicated case outcomes to customers, ensuring clarity and empathy while addressing their concerns.

• Collaborated with internal teams to gather necessary documentation and support case resolution.

Customer Experience Specialist (Manager)

Vericast
05.2020 - 11.2021
  • Served as the primary contact for customer inquiries, delivering exceptional service and ensuring positive experiences
  • Conducted data analysis to identify patterns in customer feedback and suggested process improvements to enhance service quality
  • Provided customers with accurate information regarding policies, contract provisions, and case status updates
  • Developed and maintained detailed case records to ensure compliance and facilitate accurate reporting

Customer Service Associate

Hertz Car Rental
12.2019 - 05.2020
  • Delivered prompt, friendly, and knowledgeable assistance for routine questions and service-related complaints, ensuring a positive customer experience.
  • Addressed and resolved client concerns with efficient complaint resolution techniques.

Education

Human Resources Specialist -

Bryant & Stratton College
Buffalo, NY

Skills

  • Appeals and Grievances Processing
  • Regulatory Compliance & Accreditation Standards
  • Data Analysis & Interpretation
  • Customer Engagement & Communication
  • Contract & Policy Interpretation
  • Case Research & Resolution
  • Workflow Optimization
  • Cross-Functional Collaboration
  • Customer Issue Resolution
  • Order Processing & Management
  • Pricing & Contract Support
  • Return Goods Authorization (RGA)
  • Performance Metrics Monitoring (Call Abandonment, Quality, Attendance)
  • Excellent Communication & Interpersonal Skills
  • Problem-Solving & Conflict Resolution
  • Multi-tasking & Time Management
  • Case Management Systems
  • Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
  • Data Analysis & Reporting Tools
  • Regulatory Research Tools
  • CRM Software (eg, Salesforce, Zendesk)
  • Data Entry & Record Keeping
  • Multi-line Phone Systems

Timeline

Appeals and Grievances Specialist

Elevance Health
11.2021 - Current

Customer Experience Specialist (Manager)

Vericast
05.2020 - 11.2021

Customer Service Associate

Hertz Car Rental
12.2019 - 05.2020

Human Resources Specialist -

Bryant & Stratton College
Chelsey Willis